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Updated: Jun 27, 2026
Implantation of Total Artificial Heart in Congenital Heart Disease
Published on: July 18, 2014
Management of adults with congenital heart disease with cardiovascular computed tomography
Stephen C Cook1, Peter C Dyke, Subha V Raman
1The Ross Heart Hospital, The Ohio State University, Columbus, OH, USA. Stephen.Cook@NationwideChildrens.org
Insights
Cardiac computed tomography (CT) aids in managing adults with congenital heart disease (CHD). This imaging technique provides crucial volumetric data to guide interventions and improve patient care.
Area of Science:
- Cardiology
- Radiology
- Medical Imaging
Background:
- Adult congenital heart disease (ACHD) requires ongoing specialized care.
- Cardiac computed tomography (CT) is an advanced imaging modality.
Purpose of the Study:
- To assess the utility of cardiac CT in managing adult patients with congenital heart disease (CHD).
Main Methods:
- Retrospective analysis of 87 adult CHD patients who underwent cardiac CT between April 2005 and May 2006.
- Data included diagnosis, symptoms, device presence, anatomical/functional abnormalities, and need for intervention based on CT findings.
Main Results:
- Cardiac CT identified potential interventions in 54 patients, leading to 30 subsequent surgical or transcatheter procedures.
- 37% of patients had pacemakers or implantable cardioverter-defibrillators.
Conclusions:
- Cardiac CT offers vital volumetric imaging information.
- This imaging modality effectively guides the management of adult patients with CHD.
Objective:
The purpose of this study was to evaluate the role of cardiac computed tomography (CT) in the care of adults with congenital heart disease (CHD).
Methods:
A retrospective analysis of adult patients with CHD who underwent cardiac CT from April 2005 to May 2006 was performed. Data collected included diagnosis, presence or absence of cardiac symptoms, presence or absence of a pacemaker or defibrillator, anatomic and functional abnormalities, and the need for subsequent surgical or transcatheter intervention based on cardiac CT findings.
Results:
Eighty-seven adult patients with CHD underwent cardiac CT during this period. Fifty-four subjects had cardiac CT findings that warranted possible transcatheter or surgical interventions or both. Of these, 30 patients went on to transcatheter or surgical intervention based on cardiac CT results. Twenty (37%) subjects of the study population had either pacemaker or implantable cardioverter defibrillator.
Conclusions:
Cardiac CT provides important volumetric imaging information to guide management in adult patients with CHD.
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